NCT03383510

Brief Summary

The aim of this study is to investigate changes in nutrient intake, the human gut microbiota and pesticide excretion in urine when shifting from conventional food habits to sustainable food habits.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
39

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Aug 2017

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 31, 2017

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

September 29, 2017

Completed
3 months until next milestone

First Posted

Study publicly available on registry

December 26, 2017

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 3, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 3, 2018

Completed
Last Updated

June 12, 2018

Status Verified

June 1, 2018

Enrollment Period

8 months

First QC Date

September 29, 2017

Last Update Submit

June 11, 2018

Conditions

Outcome Measures

Primary Outcomes (2)

  • Changes in composition of the microbiota

    The investigators will assess changes over time in the presence of all gut bacteria species in the microbiome of the participants based on DNA sequencing from fecal samples. Samples will be collected at three occasions; baseline (reference sample), midtime (after 4 weeks) and at the end (after 8 weeks). From frozen samples, all DNA will be extracted and full shotgun metagenomic sequencing performed using next generation sequencing technologies (Illumina and BGISEQ). A total of 120 samples (3\*40 participants) will be sequenced to a depth of at least 3 giga base pairs (Gbp) each.

    Baseline, after 4 weeks, after 8 weeks

  • Changes in concentration of pesticide residues in urine

    The investigators will assess changes in concentration of four pesticide residues (Mepiquat, Chlormequat, Propamocarb and Ethylene thiourea) excreted in urine. Samples will be collected at three occasions; baseline (reference sample), midtime (after 4 weeks) and at the end (after 8 weeks). The concentration of pesticide residues in urine samples will be determined in normal or reversed phase configuration on a high performance liquid chromatograph coupled to a triple quadrupole mass spectrometer (HPLC-MS/MS) system with electrospray ionization interface (ESI) run in negative or positive mode.

    Baseline, after 4 weeks, after 8 weeks

Secondary Outcomes (24)

  • Changes in intake of energy

    After 8 weeks

  • Changes in intake of protein

    Baseline, after 4 weeks, after 8 weeks

  • Changes in intake of fat

    Baseline, after 4 weeks, after 8 weeks

  • Changes in intake of carbohydrates

    Baseline, after 4 weeks, after 8 weeks

  • Changes in intake of dietary fiber

    Baseline, after 4 weeks, after 8 weeks

  • +19 more secondary outcomes

Study Arms (4)

Climate friendly group

EXPERIMENTAL

The climate friendly group will receive instructions to eat according to a climate friendly diet, i.e., to replace the majority of their intake of animal based products with plant based food.

Other: Climate friendly diet

Organic group

EXPERIMENTAL

The organic group will receive instructions to eat an organic diet, i.e., to replace at least 50% of their normally consumed food with organic equivalents.

Other: Organic diet

Climate friendly and organic group

EXPERIMENTAL

The climate friendly and organic group will receive instructions to consume a climate friendly and organic diet, i.e, to replace the majority of their intake of animal based products with plant based food AND to consume at least 50% organic food products.

Other: Climate friendly and organic diet

Control group

PLACEBO COMPARATOR

The control group will receive instructions to eat according to the Nordic Nutrition Recommendations.

Other: Control group (Control diet)

Interventions

Participants in the 'Climate friendly' group will be assigned a diet generating low emissions of greenhouse gases. The target is to reduce the participants' diet-related carbon dioxide equivalents (CO2e) to 2.5 kg per person and day, which is approximately a reduction by 50% compared the average CO2e, according to a previous study on diet-related CO2e in Sweden. The participants will be instructed to reduce their consumption of beef and dairy products and increase their consumption of plant-foods i.e. fruits, vegetables, legumes and whole-grain cereals.

Climate friendly group

Participants in the 'Organic group' will be assigned an organic diet with very low, or no, content of pesticides. The participants will be instructed to replace at least 50% of their food intake with organic foods.

Organic group

The participants in the 'Climate friendly and organic diet group' will be assigned a combination of a climate friendly and organic diet generating low emissions of greenhouse gas and having very low levels of pesticides. The target is to reduce the participants' diet-related CO2e to 2.5 kg per person and day. The participants will be instructed to replace at least 50% of their food intake with organic products.

Climate friendly and organic group

A conventional diet according to the Nordic Nutrition Recommendations (NNR). The participants will get information about the present dietary guidelines and how they can adhere to the guidelines, for example, by implementing the "plate model" for meals and learning about recommended levels of intake of macronutrients, micronutrients, fiber and energy.

Control group

Eligibility Criteria

Age20 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Living in Västerås
  • Carnivores
  • Healthy

You may not qualify if:

  • Vegans

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mälardalens University

Västerås, 721 23, Sweden

Location

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Study Officials

  • Katarina Bälter, PhD

    Mälardalens Högskola

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 29, 2017

First Posted

December 26, 2017

Study Start

August 31, 2017

Primary Completion

May 3, 2018

Study Completion

May 3, 2018

Last Updated

June 12, 2018

Record last verified: 2018-06

Locations